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Organization
STATEN ISLAND INTERNAL MEDICINE ASSOC PC
Active
Organization
STATEN ISLAND INTERNAL MEDICINE ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A WEINERT (OFFICE MANAGER)
(718) 448-4448
Entity
Organization
Contact information
Practice address
1478 VICTORY BLVD, STATEN ISLAND, NY 10301
(718) 448-4448
(718) 442-5691
Mailing address
1478 VICTORY BLVD, STATEN ISLAND, NY 10301
(718) 448-4448
(718) 442-5691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP120
OXFORD
—
Enumeration date
02/09/2007
Last updated
08/22/2020
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